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4 Responses

  1. Hans
    Hans September 22, 2008 at 7:45 am | | Reply

    When I log my bg that cannot not automatically mean that I am in control of it’s movements. A good log was more than once very helpful in learning to keep my bg curve within its narrow healthy limits for most of the day, but I cannot imagine any program doing the job for me. Looks like I’m driving up to red traffic lights and log it and hope or believe that the program will tell me to break in time. Just read an [url=http://www.endocrinetoday.com/view.aspx?rid=31169]interesting article[/url] in Endocrinetoday about SMBG and logging. A year’s pile of four-times-a-say logs with no number below 200, and the conclusion of the logger that it didn’t work. His doc had told him that his bg would improve with SMBG. There was the logpile of proof that it simply didn’t work :-(

  2. elizabeth joy
    elizabeth joy September 22, 2008 at 8:00 am | | Reply

    Interesting article, Hans! Shows that some patients just don’t get it (and I definitely blame that patient’s doctor.)

    Wouldn’t it be great if there was a program that would let us log our sugars, insulin/meds, carbs, exercise, and whatever other mitigating factors and use that info to make suggestions on changes in treatment? I’m surprised that hasn’t been done so far, actually…Most of us try to make those determinations ourselves, or with our endos, but really it should be easy enough for a computer to make the same kinds of calculations faster, and maybe better. It would definitely also help patients, like the guy in the above article, who don’t understand what they’re supposed to do with the numbers.

  3. Hans
    Hans September 22, 2008 at 10:08 am | | Reply

    Believing in a program that could figure out the proper insulin dose at any time for any given situation is like believing that anybody who cannot could swim just by exactly imitating the movements of a swimmer. In at least 999 out of 1.000 cases that imitator would drown. That’s the funny thing with swimming, for after that same anybody has learnt to swim, he’ll stay afloat with exactly the same imitation he didn’t have a chance with before he could swim. – Keeping our bg curves within their narrow healthy limits most of the time is quite a bit like swimming.

  4. Lygeia Ricciardi
    Lygeia Ricciardi September 22, 2008 at 10:17 am | | Reply

    Hi Amy, and thanks for the mention of the Project HealthDesign blog. I don’t have diabetes, but I do try to manage my diet. My dream tool in that regard would help me to track what I’d eaten and make decisions about what else to eat (or not eat)… as well as modifying other behaviors like exercise.

    So if I’m trying to lose 10 pounds, I’d like to know whether that additional piece of lasagna (or bite of spinach or whatever) would put me over my calorie intake goals for the day. Sometimes I misjudge… I still feel hungry so I keep eating, for example, or I assume one bite of a brownie couldn’t really be that bad (especially if it’s from someone else’s plate). I’d love some hard data that would tell me I’d already reached a pre-set limit.

    Just as importantly, though, I’d like this tool to go about its business unobtrusively and with little input from me. I’d like to be able to see it when I want to and not see it when I don’t, and be able to re-program it to meet a variety of goals. There certainly are ways to do this sort of thing now, like through Weight Watchers or similar programs. But I’m just not willing to sacrifice the time and effort required to log my meals or weigh my portions–I would love a tool to help me do that (maybe through a voice and image recognition interface?).

    Whether trying to manage our diets, live with diabetes, or any number of other conditions, I suspect many of us want the same basic thing out of our health tools — we want them to make it easier for us to meet our health goals with minimal interference in the rest of our lives.

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